ATI RN
ATI RN pharmacology 2023 Questions
Extract:
Nurses' Notes
Vital Signs
Laboratory Results
0950:
A male client transferred to room from PACU following abdominal surgery. Report received that estimated blood loss in the procedure was 1200 mL. Client is alert and talking. Lung sounds clear, heart regular rate and rhythm, hypoactive bowel sounds. Sequential compression devices in place and peripheral pulses palpable and equal bilaterally. Client can feel and wiggle toes.
1025:
Called to room. Client appears agitated. The client states, "I feel like something is wrong." Lung sounds clear, increased rate and depth of respirations noted. Client rates incisional pain as 5 on a scale of 0 to 10. Surgical dressing dry and intact. Hypoactive bowel sounds. Peripheral pulses palpable and strong capillary refill time (CRT) less than 3 seconds,
Question 1 of 5
The nurse should first follow up on the client's ___ and ___
Correct Answer: A,D
Rationale:
Step-by-step rationale for selecting A and D as the correct answers:
1. Oxygen saturation : This is crucial to assess the client's respiratory status and ensure adequate oxygenation, which is a priority in any healthcare setting.
2. Behavioral findings (
D): Changes in behavior can indicate pain, distress, or other underlying issues that may require immediate attention.
3. Pain (
B): While pain is important to assess, oxygen saturation and behavioral findings (
D) take precedence as they are more directly related to the client's immediate well-being.
4. WBC count (
C): While WBC count can indicate infection, it is not typically the first assessment to be done unless there are specific signs or symptoms suggesting an infection.
5. Bowel findings (E): While bowel findings are important, they are not typically the first assessments to be done unless the client is presenting with specific gastrointestinal complaints.
Therefore, the correct answers are A and D because they are the most critical assessments
Extract:
Question 2 of 5
A nurse is caring for a client who has a prescription for parenteral therapy. Which of the following actions should the nurse take when initiating IV therapy?
Correct Answer: D
Rationale: The correct answer is D: Apply the tourniquet 5 to 10 cm (about 2 to 4 in) above the IV insertion site. This step is crucial in initiating IV therapy as it helps to visualize and access the veins more easily. By applying the tourniquet at the correct distance from the insertion site, the nurse can create venous congestion, making the veins more prominent and easier to puncture. This step also helps to slow down the blood flow, making it easier to insert the IV catheter. It is important to apply the tourniquet properly to avoid causing discomfort or compromising blood flow to the extremity.
Incorrect choices:
A: Insert the IV catheter using the Z-track technique - The Z-track technique is used for intramuscular injections, not IV therapy.
B: Insert the IV catheter with the bevel down - The bevel of the IV catheter should be facing up for proper insertion into the vein.
C:
Extract:
Vital Signs
Nurses' Notes
Provider Prescriptions
0900:
Temperature 38.0° C (100.4° F)
Heart rate 94/min
Respiratory rate 18/min
Blood pressure 110/88 mm Hg
Pulse oximetry 97% on room air
0915:
Temperature 38.0° C (100.4° F)
Heart rate 100/min Respiratory rate 20/min
Blood pressure 106/80 mm Hg
Pulse oximetry 94% on room air
0920:
Pulse oximetry 97% on room air
Question 3 of 5
Click to highlight the action that would be appropriate for the care of the client. Each body system may support more than 1 potential action.
| Inform client to achieve two to four breaths per session when using incentive spirometer. |
| Encourage deep-breathing exercises. |
| Check for pain. |
| Encourage the client to increase fiber in their diet. |
| Promote intake of oral fluids. |
| Apply barrier ointment after bowel movements. |
Correct Answer: B,C,D,E,F
Rationale:
To determine the appropriate actions for the care of the client, we need to consider the client's overall well-being and potential needs.
B: Encouraging deep-breathing exercises helps improve lung function and oxygenation, aiding in respiratory health.
C: Checking for pain is crucial to address any discomfort or underlying issues that may affect the client's well-being.
D: Encouraging the client to increase fiber in their diet promotes gastrointestinal health and aids in preventing constipation.
E: Promoting intake of oral fluids is essential for hydration and overall health maintenance.
F: Applying barrier ointment after bowel movements helps protect the skin and prevent irritation.
These actions encompass respiratory, pain assessment, nutrition, hydration, and skin care, covering a holistic approach to the client's care needs.
Extract:
Question 4 of 5
A nurse is caring for a client who recently lost a loved one. The client reports frequent headaches, indigestion, and heart palpitations. Which of the following types of grief is the client likely experiencing?
Correct Answer: B
Rationale: The correct answer is B: Masked grief. The client is likely experiencing masked grief because they are exhibiting physical symptoms such as headaches, indigestion, and heart palpitations instead of openly expressing their emotions related to the loss. This type of grief involves suppressing or avoiding grief, leading to physical manifestations.
A: Chronic grief is characterized by persistent grief over an extended period, not necessarily accompanied by physical symptoms.
C: Exaggerated grief involves an intense and prolonged grief reaction, but the client's reported symptoms are not indicative of this type of grief.
D: Delayed grief refers to a postponed or suppressed grief reaction that emerges later, which does not align with the client's current presentation.
Question 5 of 5
A nurse is teaching a client who is immunocompromised and requires a protective environment. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: You will be placed in a positive-pressure airflow room. This is because a positive-pressure room helps prevent the entry of airborne pathogens, reducing the risk of infection for an immunocompromised individual.
A: Wearing a sterile gown outside the room is not necessary for protecting against airborne pathogens.
B: Sharing a room with another immunocompromised individual increases the risk of cross-infection.
C: While an N95 respirator mask is important for respiratory protection, it may not be sufficient in a protective environment with airborne pathogens.
In summary, the correct answer D is the most appropriate measure to ensure the safety and well-being of the immunocompromised client.